Helminthic disease including one of the most neglected tropical diseases present in Indonesia, can attack all ages but are more common in school aged children and primary school age. In 2014 the Central Bureau of Statistics data in West Sumba regency recorded 932 cases of worms, and the case is one of infectious diseases caused by parasites. This paper aims to reveal the incidence of worms infection in children of primary school in Taramanu Village, West Sumba regency. Collecting data in the form of participant observation and direct communication in addition to the faeces collection and examination. The result showed that the belief not to bury the faeces obtained since of the ancestors caused the people of West Sumba, especially Taramanu Village less attention to environmental conditions and personal hygiene. This has an impact on the behavior of taramanu community, especially children defecate in any place (shrubs, forests or behind the house) and the habit of not using footwear for daily activities causes the worm life cycle perfectly, and reinforced with the results of laboratory tests, positive infected earthworms, there are even 3 types of worms in 1 child. The real action that can be taken by the community, the government and health workers in reducing the disease of the worm is to break the parasite life cycle that can be done from the individual level is the use of latrine for bowel (jamban) movement and the use of footwear/sandalisasi. In addition, it should be given understanding through the traditional leaders and religious leaders about the use of latrines that the stool is not buried but directly mixed with water.  Abstrak Kecacingan termasuk salah satu penyakit tropis yang terabaikan di Indonesia, dapat menyerang semua usia namun lebih sering terjadi pada anak-anak usia belum sekolah dan usia sekolah dasar. Pada tahun 2014 data Badan Pusat Statistik di Kabupaten Sumba Barat tercatat 932 kasus kecacingan, dan kasus tersebut termasuk salah satu penyakit infeksi akibat parasit. Tulisan ini bertujuan untuk mengungkap kejadian infeksi kecacingan pada anak Sekolah dasar di Desa Taramanu Kabupaten Sumba Barat. Pengumpulan data berupa observasi partisipasi serta komunikasi langsung, di samping itu juga dilakukan pengambilan dan pemeriksaan tinja. Hasil penelitian menunjukkan masyarakat Sumba Barat khususnya Desa Taramanu mempunyai kepercayaan yang diperoleh sejak zaman nenek moyang yaitu tidak mengubur tinja manusia sehingga menyebabkan masyarakat kurang memperhatikan kondisi lingkungan dan kebersihan perorangan. Hal tersebut berdampak pada perilaku masyarakat Desa Taramanu khususnya anak-anak untuk buang air besar (BAB) di sembarang tempat (semak-semak, hutan atau di belakang rumah). Kebiasaan tidak menggunakan alas kaki untuk kegiatan sehari-hari menyebabkan siklus hidup cacing berlangsung sempurna. Hal tersebut diperkuat dengan hasil pemeriksaan laboratorium, positif terinfeksi cacing tanah, bahkan terdapat 3 jenis cacing dalam 1 orang anak. Tindakan nyata yang dapat dilakukan oleh masyarakat, pemerintah maupun tenaga kesehatan dalam mengurangi penyakit kecacingan adalah memutus lingkaran hidup parasit yang dapat dilakukan mulai dari tingkat individu adalah penggunaan jamban untuk BAB dan penggunaan alas kaki/sandalisasi. Di samping itu perlu diberikan pemahaman melalui pemuka adat dan pemuka agama tentang penggunaan jamban bahwa tinja tersebut tidak dikubur tetapi langsung bercampur dengan air.

Drugs expenditure is the highest proportion in health services budget. financing for health services in National Universal Health Coverage era is carried out by BPJS payed to referral health facilities namely hospitals. The medicine cost at public service agency/District or Province public service agency is unknown certaintly. This descriptive study was advanced analyzes of the secondary data of 84 hospitals from health financing research in the year of 2016. The result showed that there were problems of drug availability in class B 94,6%, C 78,9% and A 77,8%. The highest proportion of generic drugs cost to total drug cost is class C hospital, followed by B class and A class hospitals i.e 40,57%, 37,83% dan 23,74% respectively. The cost of non generic drug compared to generic drugs at A, B and C class is 2,22 times, 1,15 times and 0,86 times respectively. The highest cost of generic drug is in outpatient specialist services in all class of hospitals. The cost of the drugs was increasing higher as well as the hospital class. Conclusion: The non generic drugs cost dominated in A and B class hospital while C class was generic drug cost. Generic drug use policy should be socialyzed by government and to be considered by management in order to be able to carried out cost efficiency.

Nowadays, Traditional Health Services increasingly in demand by the Indonesian Community. According to the National Basic Health Research data of 2018, 31.4% of the population utilized THS. Moreover, the practice of traditional medicine has widely provided in several places. Traditional health services at public hospitals are known as integrated traditional health services (ITHS). This study aims at analyzing the utilization of integrated traditional health services at public hospitals by the community in fi ve provinces. This study, a descriptive with a cross-sectional design, involved ten public hospitals. It selected according to the availability of traditional health services, which is before or since 2014. The number of patients (called respondents) interviewed was determined purposively as many as fi ve patients per hospital; therefore, there were fi fty people. The results of this study indicated that Integrated Traditional Health Services has utilized by most patients aged 20 to 50 years. Information sources regarding the availability of Traditional Health Services mainly from physicians or health professionals. Most respondents lived not far from hospitals so that access to the hospitals can be reachable. Most respondents are satisfi ed with the services accepted. Manager of Traditional Health Services is a physician. Even though most respondents said that not only the cost of treatment for Traditional Health Services is expensive, but also is not covered in benefi t packages of the National Health Insurance Scheme (JKN). Therefore, they remain seeking Traditional Health Services practicing out of pocket payment method. It is recommended that the financing of Traditional Health Services should be covered by Social Security Administration Body (BPJSK) through

No abstract